Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

DAVID VINCENT SPENCER

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1154820157
CMS profile
5258751
Location
KIRKSVILLE, MO

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$874.75

50 records · 0 disputed

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $874.75 50

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,625.82 116
PY2020 $1,640.43 109
PY2021 $1,851.00 111
PY2022 $1,002.41 55
PY2023 $1,243.99 77
PY2024 $759.59 55
PY2025 $874.75 50

Payment records · PY2025 (50)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $10.40 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1227077997 CMS
Lundbeck LLC $17.12 11/21/2025 Food and Beverage No dispute reported 06/30/2026 1251849811 CMS
Axsome Therapeutics, Inc. $16.97 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1235600351 CMS
Amgen Inc. $14.56 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1227077995 CMS
Amgen Inc. $22.98 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1228498595 CMS
AstraZeneca Pharmaceuticals LP $16.86 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1206358026 CMS
Novartis Pharmaceuticals Corporation $18.35 10/06/2025 Food and Beverage No dispute reported 06/30/2026 1200543728 CMS
Amgen Inc. $10.40 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1227077993 CMS
Grifols USA, LLC $13.66 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1249591177 CMS
Lundbeck LLC $15.62 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1251849809 CMS
Abbott Laboratories $17.63 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1240974714 CMS
Novartis Pharmaceuticals Corporation $26.08 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1200543722 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $28.28 08/29/2025 Food and Beverage No dispute reported 06/30/2026 1241405824 CMS
Grifols USA, LLC $20.60 08/28/2025 Food and Beverage No dispute reported 06/30/2026 1249591179 CMS
Amgen Inc. $9.03 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1227077983 CMS
Axsome Therapeutics, Inc. $21.30 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1235466781 CMS
Ardelyx, Inc. $19.09 08/15/2025 Food and Beverage No dispute reported 06/30/2026 1247885654 CMS
Otsuka America Pharmaceutical, Inc. $21.06 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1227502633 CMS
Amgen Inc. $10.05 07/23/2025 Food and Beverage No dispute reported 06/30/2026 1227077985 CMS
AstraZeneca Pharmaceuticals LP $15.29 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1206365906 CMS
Kowa Pharmaceuticals America, Inc. $15.41 06/30/2025 Food and Beverage No dispute reported 06/30/2026 1243121185 CMS
Teva Pharmaceuticals USA, Inc. $17.94 06/27/2025 Food and Beverage No dispute reported 06/30/2026 1247504990 CMS
Amgen Inc. $12.01 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1227077979 CMS
Amgen Inc. $2.97 06/16/2025 Food and Beverage No dispute reported 06/30/2026 1227077991 CMS
Abbott Laboratories $20.28 05/23/2025 Food and Beverage No dispute reported 06/30/2026 1240937507 CMS
Amgen Inc. $10.92 05/22/2025 Food and Beverage No dispute reported 06/30/2026 1227077987 CMS
Amgen Inc. $16.53 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1228498599 CMS
Axsome Therapeutics, Inc. $19.33 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1235716346 CMS
Novo Nordisk Inc $12.87 05/01/2025 Food and Beverage No dispute reported 06/30/2026 1188981439 CMS
Exact Sciences Corporation $17.89 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1235272114 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $14.59 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1241405821 CMS
ABBVIE INC. $13.85 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1204376346 CMS
Otsuka America Pharmaceutical, Inc. $14.71 04/16/2025 Food and Beverage No dispute reported 06/30/2026 1227502628 CMS
Novo Nordisk Inc $101.99 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1188642171 CMS
Novo Nordisk Inc $14.64 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1188408188 CMS
Amgen Inc. $15.93 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1228498601 CMS
AstraZeneca Pharmaceuticals LP $14.84 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1207042723 CMS
Grifols USA, LLC $14.55 03/31/2025 Food and Beverage No dispute reported 06/30/2026 1249591183 CMS
Lilly USA, LLC $17.46 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1186606584 CMS
Merck Sharp & Dohme LLC $14.24 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1238069864 CMS
Grifols USA, LLC $14.55 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1249591181 CMS
Novo Nordisk Inc $15.23 03/05/2025 Food and Beverage No dispute reported 06/30/2026 1188693364 CMS
Amgen Inc. $17.19 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1228498597 CMS
Verona Pharma, Inc. $18.64 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1233811595 CMS
Otsuka America Pharmaceutical, Inc. $15.15 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1227502625 CMS
Ardelyx, Inc. $20.19 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1247885652 CMS
Amgen Inc. $8.06 02/11/2025 Food and Beverage No dispute reported 06/30/2026 1227077981 CMS
Amgen Inc. $15.38 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1228498603 CMS
Axsome Therapeutics, Inc. $9.77 01/10/2025 Food and Beverage No dispute reported 06/30/2026 1235759858 CMS
Amgen Inc. $12.31 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1227077989 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Plain
DAVID VINCENT SPENCER, NPI 1154820157. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1154820157.
APA 7
IndustryPayments. (2026). DAVID VINCENT SPENCER, NPI 1154820157 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1154820157
Bluebook
DAVID VINCENT SPENCER, NPI 1154820157, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1154820157.

Source: Centers for Medicare & Medicaid Services, Open Payments.